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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 34693
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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What could be causing aches in the back of legs? Blood pressure

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What could be causing aches in the back of legs? Blood pressure is normal. Female, age 79.

Since when are the aches?
Is there any swelling, redness and tenderness in calves?
Are you on any medications?
Any significant past illness?

Dr. Arun
Customer: replied 4 years ago.

I have experienced them off and on for several months, maybe years. No swelling redness. There maybe "tenderness" in calves. It feels good to massage them.

Take Singulair, Advair, Omeprazole, Lantanoprost and Timolol and supplements, emphasing Calcium and Vitamin D.

Had right middle lope of lung removed 3 months ago because of a carcinoid tumor. No further tumors found. I had the leg aches before that surgery.

Hello June,

Following can be the causes of pain in the leg;

1) Tight muscles; need stretching exercises.
2) An underactive thyroid gland
3) Thiamine deficiency
4) Vitamin B 12 deficiency (pernicious anemia)
5) Vitamin B 6 (pyridoxine) taken in excessive amounts
6) Drugs, medications, herbs.
7) Myopathy
8) Pinched nerves in back and neck
9) Peripheral arterial disease.

You should get the following investigations done (if not yet done);

1) Electromyography/nerve conduction studies (EMG/NCS)

2) MRI of the spine and brain

3) blood glucose and glycosylated hemoglobin

4) serum B12 level with methylmalonic acid (with or without homocysteine),

5) serum protein electrophoresis

6) Anti-nuclear antibody

7) Lyme testing

8) Rheumatoid factor

9) Sjogren's syndrome testing (Anti-Ro, Anti-La Antibodies)

10) Muscle enzymes

11) Thyroid, parathyroid and adrenal hormone assay.

These should be able to clinch the diagnosis of muscle pain leg pain.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.


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Customer: replied 4 years ago.
Excellent service. Thanks for not saying "it's an aging thing". I was hoping for an easy answer. Will have blood tests in a couple of weeks. Maybe it's a spinal thing. I have had arthritis in neck for years. It takes lots of management to be old. I try to work out, etc., but haven't yet been real active since surgery.
You are very welcome, June.

This can be spinal thing and back exercises with stretching exercises of lower limb should be able to help in resolving the issue.

It is privilege assisting you.
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